基于循证护理模式的静脉留置针不完全置入法在小儿静脉输液治疗中的应用

Application of incomplete insertion method of intravenous indwelling needle based on evidence-based nursing model in the treatment of intravenous infusion in children

目的探讨基于循证护理模式的静脉留置针不完全置入法在小儿静脉输液治疗中的应用效果。方法选取清远市人民医院儿内科2022年1月至12月收治的500例患儿,按照随机数字表法分成两组,每组各250例。对照组采取静脉留置针完全置入法,观察组采取基于循证护理模式的静脉留置针不完全置入法,比较两组静脉留置针留置时间、护士调节输液位置次数、置管相关并发症、留置针根部打折发生情况。结果观察组静脉留置针留置时间长于对照组,护士调节输液位置次数少于对照组(P<0.05);观察组并发症总发生率低于对照组(P<0.05);观察组留置2、3、4 d留置针根部打折发生率低于对照组(P<0.05)。结论基于循证护理模式的小儿静脉留置针不完全置入法有助于减少护士调节输液位置次数,降低并发症发生率、留置针根部打折发生率,延长静脉留置针留置时间。

Objective To explore the application effect of incomplete insertion method of intravenous indwelling needle based on evidence-based nursing model in the treatment of intravenous infusion in children.Methods A total of 500 children admitted to the Department of Pediatrics,Qingyuan People’s Hospital from January to December 2022 were selected and divided into two groups according to the random number table method,with 250 cases in each group.The control group adopted the complete insertion of intravenous indwelling needle,while the observation group adopted the incomplete insertion method of intravenous indwelling needle based on evidence-based nursing model.The indwelling time of intravenous indwelling needle,the times of nurses adjusting the infusion position,catheter-related complications,and the occurrence of indwelling needle root kinking were compared between the two groups.Results The indwelling time of intravenous indwelling needle in the observation group was longer than that in the control group,and the number of times nurses adjusted the infusion position was fewer than that in the control group(P<0.05).The total incidence of complications in the observation group was lower than that in the control group(P<0.05).The incidence of root kink of indwelling needle in the observation group was lower than that in the control group after indwelling for 2,3,and 4 days(P<0.05).Conclusion The incomplete insertion method of intravenous indwelling needle in children based on the evidence-based nursing model can help reduce the frequency of nurses adjustment of infusion position,reduce the incidence of complications and the incidence of root kink of indwelling needle,and prolong the indwelling time of intravenous indwelling needle.